Shahrad Mabourakh, MD Valid NPI

Individual provider · Internal Medicine Physician · Tamarac, FL

NPI

1053388090

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

ME0067283 (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-03-08

Last updated

2021-10-27